{"id":6308,"date":"2020-12-07T22:15:28","date_gmt":"2020-12-07T22:15:28","guid":{"rendered":"https:\/\/frumtok.is\/?page_id=6308"},"modified":"2024-11-14T14:16:23","modified_gmt":"2024-11-14T14:16:23","slug":"price-and-reimbursement","status":"publish","type":"page","link":"https:\/\/frumtok.is\/en\/information-and-links\/price-and-reimbursement\/","title":{"rendered":"Price- and reimbursement"},"content":{"rendered":"[vc_row type=&#8221;full_width_background&#8221; full_screen_row_position=&#8221;middle&#8221; column_margin=&#8221;default&#8221; equal_height=&#8221;yes&#8221; content_placement=&#8221;bottom&#8221; column_direction=&#8221;default&#8221; column_direction_tablet=&#8221;default&#8221; column_direction_phone=&#8221;default&#8221; bg_color=&#8221;#d1d1ca&#8221; bg_image=&#8221;6156&#8243; bg_position=&#8221;center center&#8221; background_image_loading=&#8221;default&#8221; bg_repeat=&#8221;no-repeat&#8221; scene_position=&#8221;center&#8221; top_padding=&#8221;15%&#8221; bottom_padding=&#8221;11%&#8221; 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text_content=&#8221;Price- and reimbursement&#8221; max_width=&#8221;450&#8243;][\/split_line_heading]<div class=\"nectar-fancy-ul\" data-list-icon=\"icon-salient-thin-line\" data-animation=\"false\" data-animation-delay=\"0\" data-color=\"accent-color\" data-spacing=\"default\" data-alignment=\"left\"> New Pharma Law came into effect January 1st\u00a0 2021. As Iceland is a member of the EU\u2018s single market via <u><a href=\"https:\/\/www.efta.int\/eea\">the EEA agreement<\/a><\/u> the law is fully in line with all relevant EU directives and regulations.<\/p>\n<p>The\u00a0 objective\u00a0 of\u00a0 the Act is to ensure a sufficient supply of necessary medicinal products, as efficiently distributed as possible on the basis of fair and equitable competition, and in\u00a0 accordance\u00a0 with\u00a0 the\u00a0 rules\u00a0 which\u00a0 apply\u00a0 in\u00a0 the\u00a0 European\u00a0 Economic\u00a0 Area.<\/p>\n<p>It is, furthermore, the objective of the Act and related regulations to ensure as far as possible the quality and\u00a0 safety of medicinal products and services, increase public information on the use of medicinal products, counter their excessive use and keep costs to a minimum \u2013 given the special circumstances of the Icelandic Pharma Market. <\/div><div class=\"nectar-fancy-ul\" data-list-icon=\"icon-salient-thin-line\" data-animation=\"false\" data-animation-delay=\"0\" data-color=\"accent-color\" data-spacing=\"default\" data-alignment=\"left\"> <u><a href=\"https:\/\/www.ima.is\/\">The Icelandic Medicines Agency<\/a><\/u> is the regulatory authority and is responsible for price- and reimbursement decisions. To meet the objective of \u201ekeep costs to a minimum\u201d, as stated in the Pharma law, the IMA shall take into account price and reimbursement requirements in the Nordic countries.<\/p>\n<p>When deciding allowed wholesale price for general medicines the IMA shall monitor and \u201etake notice of\u201c the price of the same medicines in the Nordic countries. <\/div>[split_line_heading animation_type=&#8221;line-reveal-by-space&#8221; font_style=&#8221;h2&#8243; line_reveal_by_space_text_effect=&#8221;default&#8221; content_alignment=&#8221;default&#8221; mobile_content_alignment=&#8221;inherit&#8221; link_target=&#8221;_self&#8221; text_content=&#8221;General information&#8221;]Price- and reimbursement &#8211; basic facts<\/p>\n[\/split_line_heading]<div class=\"nectar-fancy-ul\" data-list-icon=\"icon-salient-thin-line\" data-animation=\"false\" data-animation-delay=\"0\" data-color=\"accent-color\" data-spacing=\"default\" data-alignment=\"left\"> When reimbursements decisions are taken in general the following is evaluated:<\/p>\n<ul>\n<li>Safety of the drug<\/li>\n<li>Clear indication and place in therapy<\/li>\n<li>Price in relation to efficacy and in comparisons to already reimbursed drugs<\/li>\n<li>Budget impact \u2013 how many patients, for how long<\/li>\n<li>Reimbursement in Denmark, Norway, Sweden and Finland<\/li>\n<\/ul>\n <\/div><div class=\"nectar-fancy-ul\" data-list-icon=\"icon-salient-thin-line\" data-animation=\"false\" data-animation-delay=\"0\" data-color=\"accent-color\" data-spacing=\"default\" data-alignment=\"left\"> The law criteria for Specialty care high-cost medicines (hospital medicines) are:<\/p>\n<ul>\n<li>Costly<\/li>\n<li>Challenging to administer<\/li>\n<li>Only to be used according to clinical guidelines<\/li>\n<\/ul>\n <\/div><div class=\"nectar-fancy-ul\" data-list-icon=\"icon-salient-thin-line\" data-animation=\"false\" data-animation-delay=\"0\" data-color=\"accent-color\" data-spacing=\"default\" data-alignment=\"left\"> The IMA has to ask the Medicines Committee of the National Hospital for an opinion before approving new hospital medicines. When deciding allowed wholesale price for hospital medicines the IMA shall take notice of the <u>lowest<\/u> price in the Nordic countries. However, if there is a contract or an agreement between MAH and buyer, the IMA may publish the average price in the Nordic countries in the official price catalogue. <\/div><div class=\"nectar-fancy-ul\" data-list-icon=\"icon-salient-thin-line\" data-animation=\"false\" data-animation-delay=\"0\" data-color=\"accent-color\" data-spacing=\"default\" data-alignment=\"left\"> <a href=\"https:\/\/www.ima.is\/published_material\/guidelines\/#q=Pricing%20and%20reimbursement\" target=\"_blank\" rel=\"noopener noreferrer\">Further information is available here.<\/a> <\/div><div class=\"nectar-fancy-ul\" data-list-icon=\"icon-salient-thin-line\" data-animation=\"false\" data-animation-delay=\"0\" data-color=\"accent-color\" data-spacing=\"default\" data-alignment=\"left\"> <a href=\"https:\/\/frumtok.is\/wp-content\/uploads\/2021\/12\/21-greidsluthatttokukerfi-flowchart-EN.pdf\" target=\"_blank\" rel=\"noopener\">Application process &#8211; flowchart<\/a> <\/div>[\/vc_column_inner][\/vc_row_inner][\/vc_column][vc_column column_padding=&#8221;padding-5-percent&#8221; 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